Individual provider Active NPI

David Lee Willis, GNP

  • Gerontology Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1689703134
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
556431 Issued in TX
Practice address
275 Holder TRL
McKinney, TX 75071-4133
Phone
(214) 491-4191
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 556431 TX Primary

Addresses

Primary practice location

275 Holder TRL
McKinney, TX 75071-4133

Mailing address

275 Holder TRL
McKinney, TX 75071-4133
Phone (214) 491-4191

Other identifiers 1

IdentifierTypeStateIssuer
556431OtherTXREGISTERED NURSE, GNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070718000613 TX Practitioner - Nurse Practitioner 6204937451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Willis Senior Housecalls PLLCGroup PAC ID 1850603564, 4 clinicians

Practice addresses (Care Compare)

275 Holder TRL
McKinney, TX 75071-4133
Phone (214) 491-4191

Hospital & facility affiliations

  • Accentcare Home Health of McKinney Home health agency, McKinney, TX, CCN 679236
  • Grace Home Health Inc Home health agency, Plano, TX, CCN 679309

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as individual
Quality
89.61
Improvement activities
40
Cost
61.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
556431TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tele-Monitor Services of Texas PLLC CurrentSince Oct 13, 2025 Accepting new patients
Willis Senior Housecalls PLLC CurrentSince Apr 24, 2015 Accepting new patients
American Health Assessments LLC Gerontology PastSince Oct 27, 2012 Accepting new patients

Locations

515 W Main St
Ste 115
Allen, TX 75013
Phone (214) 491-4191

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1689703134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HOLDER TRL",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714133",
            "telephone_number": "214-491-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOLDER TRL",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714133",
            "telephone_number": "214-491-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "556431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE, GNP",
            "identifier": "556431",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.